Lumbar Spinal Stenosis Treatment


Lumbar Spinal Stenosis Treatment

Treatment

Non-surgical treatment

Non-Surgical treatment includes posture management, medications, exercise, and stretching. In many cases, these options can help the pain to go away.

Additionally, anti-inflammatory medications can help to reduce pain and swelling. In most cases, the non-prescription medications can help but if the problem is persistent or getting severe then it is essential to consult the doctor right away. 

Swelling can be reduced with epidural injections. Physical therapy can help to increase stability and flexibility. To encourage the patient to get to a normal working routine 4 to 6 weeks of therapy is encouraged. 

Surgical Treatment

In case, the non-surgical treatment did not work then the doctor recommends you a surgical option. Different spine surgeries are available and according to your condition, the doctor will let you know which one you need to get. 

When you visit Kalyan Hospital the surgeon will determine your overall health, age, and any other issue if you are experiencing. 

Who is the ideal candidate for the surgery?

  • Leg and back pain is affecting your normal working routine.
  • Foot Drop, leg weakness, and numbness in the limb.
  • Problem with bladder functions.
  • Not able to stand or walk properly
  • Therapy or medications did not seem helpful.
  • The patient’s health is good to undergo the surgery.

Symptoms

  • Pain or numbness in the calves, legs, or buttocks
  • Cramping in the calves with walking
  • Need short rests to walk a distance
  • Pain may get less with sitting, bending forward, or lying down
  • Pain radiating into one or both legs and thighs, which is the same as “sciatica”. 
  • In rare cases, loss of leg functioning, loss of normal bowel or bladder function.

Causes

The most common causes are degenerative disc disease and degenerative arthritis. The arthritis problem usually occurs with age and also due to osteoarthritis. Due to this reason, the loss of normal height, the formation of a bone spur, loss of cartilage between the joints, and the ligamentous structure can overgrow. 

If the lumbar disc gets degenerate more it can lead to the problem of spondylolisthesis. This can affect the normal space between the nerves due to which nerve tissues are pressed directly.

In some cases, the lumbar spinal stenosis occurs due to other conditions that decrease the spinal canal space. Given below are some of the reasons:

  • Tumor of the local structures (tumors originated from other body part and spread to this location)
  • Infection
  • Different metabolic bone problems that cause bone growth

Diagnosis

Our doctor will do the diagnosis based on the symptoms, history, test results, and physical examination. Some of the tests which can be included to diagnose your condition are:

X-ray: Radiation helps to create the body image and show the internal structure of the bone, joints outline, and spine alignment.

CT scan or CAT scan: Multiple X-rays are combined to create the body internal image. It helps to show the shape and size of the spinal canal, its contents, and the structures. It helps to give detailed anatomy of the bone.

MRI: Powerful magnets and computer technology are used to create the body image. It helps to show the spinal cord, nerve roots, and surrounding areas. Additionally, it also shows enlargement, degeneration, and tumors.

Myelogram: Injects contrast dye into the spinal fluid space to outline the nerves and spinal cord. It shows if these areas are put under any pressure.

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